Resident Medical Education June/July 2008

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On behalf of Information Technology, I want to welcome you to St. John Health for your training rotation. St. John Health (SJH) is committed to providing a wide range of technology to support all of your patient care efforts. The accompanying packet has information to help you with using our available clinical IT applications. St. John Health is presently embarked on an ambitious project to install a state-of-the-art electronic medical record called eCare. Phase 1 of this project includes patient lists and results viewing. Future Phases will expand the electronic record with components such as Nursing Documentation and Pharmacy among others. Over the next several years, eCare will gradually replace our two older clinical systems, Common Access and CDR-Web. These systems will still be available for review of historical patient records. Several of our hospitals have also deployed a PACS (Picture Archiving) system to allow access to radiologic images to clinicians. St. John Health also provides access to a variety of clinical decision support tools that many of you may be familiar with from your medical school training, including MDConsult and UpToDate, and access to our medical library sites including online access to a wide variety of online journals. These sites, along with our Care Management information are accessible from the SJH Associate Intranet page. The Care Management site includes access to clinical protocols, pathways and order sets for a wide variety of clinical conditions. A number of other tools are available to support clinical care and efficiency. These include: • A full Suite of Microsoft Office tools, including Excel, Word, and PowerPoint • Microsoft Outlook e-mail • Electronic Signature of clinical documents at some of our hospital sites • On-line Physician and Behavioral Medicine Directories Lastly, St John Health is committed to providing access to all of our technology tools both on-site in our hospital facilities, and via “remote access” from physician offices and from home at https://healthweb.stjohn.org . I hope the training information included with this letter helps you to use all of the tools available to support your training and patient care efforts here at St. John Health. I look forward to working with you and would welcome any comments or questions regarding the technology applications available at St John Health. Again, welcome to St John Health. Dr. Ted Daniel Chief Medical Information Officer 586-753-1753 (office) 313-609-1843 (pager)

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St. John Health Residents Reference Guide Table Of Contents 1. St. John Health Network – Computer technology that brings patient information and medical resources to your fingertips. 2. eCare Overview – State-of-the-art-electronic medical record based on the concept of a “patient-centric” record, which will provide a single patient electronic record regardless of where patients receive care within St. John Health. 3. Common Access – Web-based tool that provides patient information such as lab, pathology, transcribe results and demographic information. (Notegradually will be replaced by eCare) 4. Intranet and Available Tools – An internal “internet” that provides information such as online phone directory and medical information resources. 5. St. John Health Learning Institute – The St. John Health Learning Institute (SJLH) offers a comprehensive program of development, education, and training. 6. Outlook (e-mail)/Webmail2003 (external email) – St. John Health provides an internal email address that is also available remotely from any computer connected to the Internet. 7. Remote Access/Healthweb – A remote solution that will provide the ability to access SJH applications-both clinical and non-clinical from any computer that has an Internet connection. 8. PACS- Picture Archival Communication System

For additional assistance, contact the IT Solution Center at (586) 753-0000 3

Windows 2000 Getting Started Participant Handout

By Office Automation Solutions and Training Information Technology Department 4

This is a version of Windows made specific to our needs at St John Health System. It may look the same or different to you, but functions similar to all Windows programs. There is a new log-in method. You will receive a new password. The C: drive has been secured and the recycle bin has been removed. The system is capable of remote re-imaging. Outlook is the new application for e-mail and scheduling.

This project covers starting and exiting Windows 2000, and using the mouse and screen elements. In this Project, you will find the following topics: ♦ Starting Windows ♦ Accepting Legal Statement ♦ Log-In ♦ Changing Your Password ♦ Using the mouse ♦ Identifying the elements of a window ♦ Using the menu bar ♦ Using dialog boxes ♦ Maximizing, minimizing, and restoring a window ♦ Using the Help System ♦ Using Multiple Printers ♦ Starting applications ♦ Arranging application windows ♦ Switching between applications ♦ Saving a File ♦ Closing an application window ♦ Verify ♦ Refresh ♦ Using the Control, Alt and Delete Options ♦ Log-off ♦ Exiting the Windows program

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To Start Windows 1. Turn on your computer and monitor. 2. Press the [Control] + [Alt] + [Delete] keys at the same time.

Alt The SJHS legal statement displays. This system is the property of St. John Health and is to be used for business purposes only. By logging on, you understand that all transactions are monitored, and agree to the computer use terms outlined in your employee handbook. 3. Click on the OK

button.

To Log-In 1.

Type your Username

2.

Press the [Tab] key

3.

Type your password (Password is the same in the classroom only)

4.

Press the [Enter] key or click on OK

.

To Change Your Password

When you log in to your Desktop 2000 computer for the first time, you will use a temporary password given to you by the Desktop 2000 team. While completing this process, it will be necessary for you to change your password. Your new password must be one you have never used before. It must be 7 characters minimum in length. If you do use your old password by mistake, you will likely have problems the next time you log in to your Desktop 2000 computer.

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To Identify Desktop Elements 1.

Notice the background with the logo and hospital names

2.

Notice the icons for Office 2000 applications, My computer,

3.

Notice the icons on the Task Bar

My Computer Desktop Application Icons

System Tray

Task Bar

Start Button

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To Use the Mouse 1.

Move the mouse across your desk or mouse pad.

2.

Move the mouse pointer to the My Computer icon

3.

Click the left mouse button.

4.

Point to the My Computer icon

on the desktop.

, and then double-click the left mouse button.

To Use the Menu Bar

1.

Double-click on the My Computer Icon

2.

Click View on the My Computer menu bar.

3.

Press [Alt]+[V].

4.

Press [Esc].

5.

Press [Alt]+[V] again.

6.

Press [↓] several times.

7.

Press [→] twice.

8.

Click on the View menu.

9.

Press [Esc] twice.

10.

File, Close this application

.

To Use Dialog Boxes 1.

Click on the Start button.

2.

Click on MS Word 2000.

3.

Click File, Print… on the menu bar. Note: The three dots after the word Print are called ellipses and indicate a dialog box will appear asking you for more information.

4.

Click the Cancel button.

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To Maximize, Minimize and Restore a Window 1.

Click the Minimize button

in the My Computer window.

2.

Click the MS Word button

on the taskbar.

3.

Click the Maximize button

in the My Computer window.

4.

Click the Restore button

5.

Click on the Close button

in the My Computer window. in the upper right corner.

To Use the Help System

1. Double-click on the My Computer icon

.

2. Click Help on the menu bar. 3. Choose Help Topics. 4. Click the Contents tab. 5. Click on the Printing (click on the burgundy colored book icon.) 6. Click the Print A Document page icon. 7. Click the Index tab near the top of the dialog box. 8. Type Taskbar. 9. Double-Click on Reducing windows to. 10. Click on the word taskbar located on the right hand side of the screen. It will be underlined and green in color. It is a hyperlink to more information. 11. Click anywhere outside the explanation to make it disappear. 12. Click the right scroll arrow on the horizontal scroll bar. 13. Click the down scroll arrow on the vertical scroll bar. 14. Click the up scroll arrow on the vertical scroll bar. 15. Click the Close button

.

To Start Applications 1. Click the Start button. 2. Move the mouse pointer up the menu to highlight St. John Applications. 3. Move the mouse pointer to the Microsoft Paint option; then click the left mouse button. 4. Click the Start button; then move the mouse up to highlight St John Applications. 5. Move the mouse pointer to the Notepad option; then click the left mouse button.

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To Arrange Application Windows 1. Move the mouse pointer to the border on the left side of the Notepad window. 2. Move the two-headed arrow to the left to make the window wider. 3. Move the two-headed mouse pointer to the right to make the window smaller and then release the mouse button. 4. Move the mouse pointer to the Notepad window title bar. 5. Click and drag the title bar to move the window to the upper-left corner of the desktop. 6. Release the mouse button. 7. Move the mouse pointer to the Paint window title bar. 8. Click and drag the title bar to move the window to the upper-right corner of the desktop. Note: The Paint application and the Notepad application should be next to each other on your screen. To Switch Between Applications 1. Minimize the Microsoft Paint application. 2. Minimize the Notepad application. 3. Press and hold down [Alt] 4. Tap the [Tab] button until the Notepad icon appears. 5. When the Notepad icon is selected, release [Alt]. 6. Press and hold down [Alt] 7. Tap the [Tab] button until the Microsoft Paint icon appears. 8. When the Microsoft Paint icon is selected, release [Alt]. 9. Click the Close button

in the Notepad window.

To Save a File 1. Create a Microsoft Paint file. 2. Click on the icon spray can and drag it across the white area in the Paint window. Note: Create any kind of a design you desire. 3. Click on File, Save As. 4. Click on the drop down arrow in the Save In: field. 5. Click on a drive to save the file to. 6. Name the file if not already named. 7. Click on OK.

Note: Since the C: drive is secured, make sure you save it to a floppy disk – A:, or your network drive – H:.

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To Close an Application Window 10. Click the Close button

in the Microsoft Paint window.

To Verify Note: Verify is used to correct software programs when they are not working properly. 1. Click on the Start button. 2. Click on St. John Application. 3. Click on Microsoft Office 2000. 4. Click on Verify MS Office Set Up. To Refresh Note: Refresh is used to add new programs you have been given access to. 1. Click on the Refresh icon

in the lower right corner of the Taskbar.

2. Click on Refresh. To Use the Ctl + Alt + Del features 1. Click Start button. 2. Click St. John Applications. 3. Click on Notepad. 4. Press the [Ctl] + [Alt] + [Del] keys on the keyboard. 5. Click on the Lock Workstation button. 6. Press [Ctl] + [Alt] + [Del] keys. 7. Re-enter the password. 8. Click [Ctl] + [Alt] + [Del] keys. 9. Click on the Change Password button. 10. Review the screen. 11. Click on Cancel. 12. Click on Log Out. 13. Review the screen. 14. Click on Cancel. 15. Click on Task List. 16. Click on Notepad. 17. Click on End Task. 18. Click on the Close button. 19. Press [Ctl] + [Alt] + [Del] keys. 20. Click on Shutdown. 21. Click on Cancel. 22. Click on Cancel. 11

To Log-Off/Shutdown Windows The Shut Down dialog box gives you three choices. They are: Choice… Description… Log-Off (your ID)

Lets you log off, but leaves your PC turned on.

Shut down the computer

Shuts down windows and turns off the computer.

Restart the computer

Shuts down windows and reloads it.

To Log-Off (your ID)… 1. Click on the Start Button on the Taskbar. 2. Click on Shut Down… 3. Click on the drop-down arrow in the field for the question "What do you want the computer to do?" 4. Click on Log off (Username will be noted). 5. Click on OK

.

To Shut Down 1. Click the Start button on the taskbar. 2. Choose Shut down… 3. Click on the drop-down arrow in the field for the question "What do you want the computer to do?" 4. Choose Shut down the computer. 5. Choose OK. To Restart… 1. Click on the Start Button on the Taskbar. 2. Choose Shut Down… 3. Click on the drop-down arrow in the field for the question "What do you want the computer to do?" 4. Click on Restart 5. Click on OK

.

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Ctl + Alt + Del Options. Option

Description

Cancel

Closes the window without applying any changes

Change Password

This is used the first time the user logs -in to change their password. It can also be used at other times to change the password. The system will prompt the user to change their password every 60 days

Lock Workstation

Locks out users. Displays the Desktop 2000 screen saver. Users must use Ctl + Alt + Del to re-enter their password and reactivate the desktop

Log Out

Used to Log out

Shutdown

Used to Shutdown the desktop

Task List

Displays open applications. Indicates the status of the application. Will indicate if an application is not responding. Users can then highlight the program and click on End Task to close it and restart the application

Window Elements Element

Function

Title bar

Displays the name of the window or the document in the window.

Menu bar

Displays a list of the menus from which you can choose.

Control-menu box

Accesses a menu that enables you to choose commands to control the window, including changing the window size, closing a window, and switching to a different window.

Maximize button

Expands the active window to fill the entire screen.

Minimize button

Shrinks the window to an icon at the bottom of the screen.

Close button

Closes the window.

Window border

Identifies the edge of the window. You can drag the window border to change the size of most windows.

Window corner

Used for resizing the window. Dragging the corner resizes two sides at the same time on most windows.

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Dialog Box Elements Element

Description

Tab

A button that resembles a file folder tab and is located on the top of a dialog box. Clicking a tab switches to and displays a different page for the dialog box.

Text box

A data entry area for text, data, or numbers.

List box

A list of predefined data entry items, options, or existing files or directories. If a scroll bar is present, there are more entries than will show in the list.

Drop-down list box

A list box that conserves space on the screen by not displaying the entire list until you click the arrow button next to the box. A full list of options drops down so you can choose an item.

Command button

A large rectangular button that executes or cancels a dialog box. A command button displaying an ellipsis opens another dialog box.

Check box

A square box that specifies an option. You can select more than one check box; a check mark in the check box indicates that the option is selected.

Option Button

A round button that specifies an option. You can select only one button from a group; the selected button is filled with a dark circle

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Summary of Steps To

Do This

Accept Legal Statement

Click on OK to accept.

Cancel a dialog box

Click the Cancel command button or press Esc.

Cascade multiple program Choose a menu command

Right-click the taskbar, then choose Click the menu command, or press Alt, then the underlined letter in the menu command.

Click

Press and release the left mouse button.

Close a window

Click the Close button (it looks like an X).

Display the Help Contents

Click the Contents tab in the Help Topics dialog box page

Display the Help Index page Double-click

Click the Index tab in the Help Topics dialog box. Press and release the left mouse button twice in rapid succession.

Exit Windows

Click the Start button, and then choose Shut Down. Choose Shut Down the Computer, and then choose Yes. The PC will turn off.

Get help from the desktop

Click the Start button, then choose Help.

Get help in an application

Click Help on the menu bar, then choose Help Topics.

Log-Off

Click the Start button, then Choose Log-off UserID, and then choose Yes. Press Ctrl, Alt and delete keys. Accept legal statement, Type userID, Press Tab, Type password, Press Enter or click on OK.

Log-In

Make a selection from a drop down list

Click the underlined arrow beside the list, and then click a drop-down list an item in the list. If necessary, click the up or down arrow in the scroll bar to scroll through the list.

Make a selection from a list box

Click the item in the list. If necessary, click the up or down scroll arrow to scroll through the list.

Maximize a window

Click the Maximize button (it looks like a box with a thick line on the top).

Minimize a window

Click the Minimize button (it looks like a dash).

Move a window

Click and drag the title bar. Release the mouse button to place the window in the new location.

Move the mouse pointer

Slide the mouse across your desk or mouse pad.

Open a menu

Click the menu name in the menu bar, or press Alt, then the underlined letter in the menu name.

Perform a word search on help topics

Click the Find tab in the Help Topics dialog box. Type the word you want to find in the in the Type the Word(s) You Want To Find text box If 15

the Word(s) You Want To Find text box. If necessary, choose the matching word in the Select Some Matching Words To Narrow Your Search list box. Select a help topic in the Click a Topic, Then Click Display list box, then choose Display. Restore a window

Click the Restore button (it looks like two cascading windows).

Search for a help topic

Select (or deselect) a check box

In the Index page, type the first few letters of the help topic you want to find. Click the help topic in the list box, then choose Display. Click the check box or the item name.

Select a command button

Click the command button.

Select a text box

Click the text box.

Select an option button Select text in a text box

Click the option button or the item name. Double-click the text box.

Size a window

Point to a window border. When the two-headed arrow appears, click and drag the border. Release the mouse button to resize the window.

Start an application

Click the Start button. Move the mouse pointer up to highlight Programs. Move the mouse pointer to the right to move into the Programs menu. Highlight the program folder that contains the program, and then click the icon.

Switch between application windows

Click the application button on the taskbar, or click anywhere inside the application window, or press Alt+Tab until the window you want is at the top of the stack, or press Alt+Tab until the blue box surrounds the icon that represents the program you want to work with

Switch to a different page

Click the tab along the top of the dialog box.

Verify

Right-click on the program icon, and then click on Verify.

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Glossary Term

Defined As…

Application

The computer programs

Context sensitive

Refers to menus that change, depending on what you are pointing to when you click the right mouse button.

Desktop

The computer screen

Dialog boxes

Boxes which open on-screen when you need to enter more information to complete a command

Document

The actual workspace of the application a picture that represents an application, file, or system resource

Graphical user interface

A computer application that uses pictures, graphics, menus, and commands to help users communicate with their computers.

Icons

A picture that represents an application, file, or system resources.

Insertion point

The point which indicates where the text you type will be placed

Legal statement

A statement regarding the use of software owned by SJHS

Log-in

To sign on the network

Log-off

To sign off the network

Maximize

Expanding a window so it fits the entire screen

Minimize

Shrinking an application down to a button on the task bar

Primary mouse button

The left mouse button

Program

A component of a computer system used to perform a specific task

Program folders

A storage area for applications and subfolders

Pull down menu

Menu that drops into the screen whenever you select a command from the menu bar

Selection bar

The highlighted bar that outlines your menu selection

Shortcuts

Items on the start menu that provide quick access to applications.

Start Button

The left button at the end of the taskbar.

Subfolders

Program folders that are found inside other folders

Taskbar

The gray area located at the bottom of the desktop

Verify

To correct software programs when they are not working properly

Window

The work area that sits on top of your desktop.

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2000Quick Reference Guide Log-Off or Shutdown Following the correct method to Log-off or Shutdown windows. Note: The Shut Down dialog box contains three choices to use: Log off – End your session, leaving the computer running on full power. Shut down – Ends your session and shuts down Windows so that you can safely turn off the power. Restart – Ends your session, shuts down Windows, and starts Windows again.

To Log-off: 1. 2. 3. 4.

Click on the Start Button. Click on Shut Down… Click on the drop down arrow and select “Log off (will be your ID) Click OK.

To Shutdown: 1. 2. 3. 4.

Click on the Start Button. Click on Shut Down… Click on the drop down arrow and select “Shut down”. Click OK.

Note1: Workstation must be shut down at least once a week. Other Important Facts To Know 1. You will no longer be able to log someone off the computer or sign-on as New User if the computer is locked and someone else 2. 3. 4. 5. 6. 7. 8.

has signed on. You will be required to change your Password approximately every 30 days. Passwords must be at least 7 characters long. Passwords cannot be used more than once. Intranet – Click once on the located on the task bar to open. Ctl + Alt + Delete – Also used to shut down Do Not use Lock Workstation to shutdown. The Workstation will automatically lock itself after 15 minutes of inactivity. Use Ctl + Alt + Delete then re-enter password to get back in. Separate Sign-ons required for major programs such as *Omni and HBO (CICSHBOP). *These programs have not changed in their functionality. If problems arise, call the ITS Solution Center at (586) 753-0000 or ext. 3-0000 and press option 1 for DeskTop 2000 Help. To register for Desktop 2000 training, call (586) 753-0000 and press option 5 or ext 3-0000 and press option 5 or e-mail: TRAINING DEPARTMENT (IT).

DESKTOP 2000 QUICK REFERENCE Start the System Systems prepared for work areas will require the following steps to connect with the system.

1.

Press the Control, Alt and Delete keys at the same time. The following legal statement displays: This system is the property of St. John Health System and is to be used for business purposes only. By logging on, you understand that all transactions are monitored, and agree to the computer use terms outlined in your employee handbook.

2.

Click on the OK button. The Log-on window displays.

Log-on

1. Verify Caps Lock is off and Num Lock is on. 2. Type your username. 3. Press the Tab key. 18

4. Type your password. 5. Click on the OK button or press Enter. The desktop displays. To Change Your Password When you log in to your Desktop 2000 computer for the first time, you will use a temporary password given to you by the Desktop 2000 team. It will be necessary for you to change your password. Your new password must be one you have never used before. If you do use your old password by mistake, you will likely have problems the next time you log in to your Desktop 2000 computer. You must place a check mark in the box beneath the log in fields so that the system will synch your passwords. Here are some things to keep in mind when you log in for the first time: You may be prompted to enter the temporary password and your new password several times. This is necessary so that you can gain complete access to all your applications. The number of times you will be prompted to enter your password(s) depends upon how you computer was previously setup. It is very important that you enter the passwords consistently each time. If you have problems changing your password, contact the ITS Solution Center at (586) 753-0000 or ext. 3-0000 and press option 1 for DeskTop 2000 help.

1. Desktop The desktop in Windows refers to what you see on the screen. It contains: Icon – picture representing program, task or document Mouse Pointer – white arrow indicating cursor location Taskbar – area that shows currently open programs (at bottom of screen) Start button – provides access to programs and shutdown (left lower corner) Start A Program 1. Click on the Start Button. The Start menu will display.

2. 3.

Move the cursor to the right and highlight the program you need to open. Click on the program to open it.

Printing to Multiple Printers 1. 2. 3. 4.

Click on the Start Button Click on St. John Applications. Click on Printers. Click on the printer you need to use.

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5.

When ready to print, click on the drop down arrow to select the printer for your current printing session.

6.

Click on OK

Switching Between Applications

There are two popular methods: 1.

Click the application button* on the Task Bar (See image below)

2.

Hold down Alt key, press Tab key (program becomes top window)

*

All open applications appear on the task bar.

Note: More than one application will need to be open in order to perform either one of these steps. Maximize, Restore, Minimize and Close Windows

Multiple windows can be displayed at once. They can be on top of each other, or side by side. Resizing windows helps you to see more and is done using the minimize, maximize and restore buttons located on the right side of the Title Bar. The window now fills the screen.

1.

To maximize a window, click on the Maximize button.

2.

To restore the window to its original (smaller) size, click on the Restore button in the upper right corner.

3. 4.

To minimize a window and bring it down to the task bar, click on the Minimize button. If it is a file, you will be prompted to save the file. To close a window, click on the Close button.

Scroll Bars

The up and down arrows are just like those on an elevator. Up shows you more from the top and down shows you more from the bottom. The square (scroll box) shows the relative position of where you are in the document. It it's all the way at the top or bottom there is no more to see. One click on an arrow moves the area being shown by one line, holding it down keeps it moving until you let go of the button.

Clicking on the box, holding the mouse button down and moving the mouse allows you to control the speed in which information is shown.

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What is eCare? • •

• • •

eCare is part of the SJH vision-“to provide the highest quality patient care experience every time, everywhere”. eCare answer the Call To Action: o Healthcare That Works o Healthcare That Is Safe o Healthcare This Leaves No One Behind eCare is a state-of-the-art electronic medical record and enterprise-wide person index. eCare promotes evidence-based medicine and clinical best practices. ECare creates a unique patient ID number allowing physicians and associates to see a single record regardless of where and when a patient is treated within SJH.

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The eCare Intranet site provides valuable information via the Physician link, which is accessed through the main menu on the left side of the screen. Useful data includes Meetings in a Box, Web Based Training, and Job Aids.

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The Training link is also accessed through the main menu on the left side of the screen, and includes specific genre-based modules.

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There are three different ways in which a user would access eCare: a. Standard Workstation – eCare icon

b.

Clinical Workstation – eCare link

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c.

HealthWeb – eCare (external)

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Web-Based Training (WBT) eCare Training is available remotely at http://healthweb.stjohm.org: 1. Select “Intranet” from the HealthWeb home page. 2. Select “eCare” from the Intranet home page. 3. Select “Physicians” or “Training” from eCare home page.

Physicians

Office Staff

Associates

4. Scroll down to view available training materials.

Powerchart Job Aids (step-bystep)

Web-Based Training modules

Physician Job Aids (step-bystep)

Please note that Sun Java must be installed and activated in order to execute the web-based training.

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PowerChart Office Job Aids found on the eCare website Training Link

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Printing Remotely within eCare 1. Login into http://healthweb.stjohn.org 2. Click on the “eCare (external)” link 3. Click on the eCare application icon that you want to access (i.e. PowerChart) Note: You may receive a message that “The applications digital signature is invalid. Do you want to run applications?”. • •

Select “Always trust content from this publisher” Click “Run” button

4. Click “Settings” button located in the “Connection Center” window.

5. Click the “Printer Mapping” tab. 6. Select the default printer that is connected to your PC from the list. 7. Click “Modify” button.

IF THERE ARE NO PRINTERS LISTED: A. Click the “Add” button from the ICA Settings dialog box displayed in the previous step. B. In the New Printer Mapping dialog box: a. Use “Test” as the Printer Name b. Select “Local Port” or “Network Printer” dependant upon whether your printer is directly connected to the computer or through a network. c. If a “Network Printer”, just type in anything for the “Server” and “Queue Name” fields (e.g. “S” for Server and “Q” for Queue. d. Select the “HP Laser Jet 4000 Series PCL” printer driver. e. Click “OK” button. C. Exit out of Powerchart. D. Select the Powerchart SSO icon and follow steps 1 – 9. Your local printer should be listed. 28

10 Select “Set as Default” and “Enable Printer”. 11. Click “OK”.

7. Click “OK” on ICA Settings dialog box.

8. Click “OK” on Warning box. This states that new settings will take effect on new sessions and not the current session.

9. Log out of eCare. You should now be at the Healthweb screen. 10. Select the “eCare (external)” link to start a new eCare session.

Your printer is now functional through the Printer icon in eCare for RESULTS and DOCUMENTATON ONLY. Printing of LISTS must be done through the PRINT SCREEN option available in the TASK menu in the upper left of the Powerchart screen.

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Common Access Reference Common Access allows Clinicians to use an Internet browser to access census and results information through user-friendly screens. The program allows access from within the hospital, physician offices and approved user’s home PCs. Only one password is required to view all information. Physicians can view data for all SJHS ministries where they have privileges.

To Log-In 1. Log into the workstation with your Network User Name and password. 2. Click on Common Access link. 3. The application will open. Note: You can have multiple applications open at the same time. Minimize the current open application by clicking on the minus sign in the upper right corner. This places the application on the task bar at the bottom of the screen. Select another application to open. To switch between applications, just click on the application name at the bottom of the screen.

Navigating in Common Access

1. You can click on any of the Black Navigation buttons.

2. You can click on any of the drop down menus.

3. You can use the Browser Navigation button: Back. 4. You can use the Close

button for any window. (It is best to log out from Common Access and then to close the

browser.)

Viewing a Census

1. A census can be obtained by clicking on the My Patient List, Nursing Unit or My Group List black navigation buttons. (By default, a physician will automatically see either their census or their group census.) My Patient List and My Group List will automatically list the patient census. To obtain a Nursing Unit census, select a Nurse Unit.

My Patient List Nursing Unit My Group List

Add a Line Between Patient's Names on a Nurse Unit, Physician or Group Census

Note: You can add 1 or more notes lines or shift report information between the patient's names prior to printing. This allows you to record pertinent information regarding the patient as you make rounds or care for the patient throughout the day. This is useful for report and charting. You can add 1 or more lines between the patient's names prior to printing.

1. Scroll to the bottom of the census screen. 2. Type in the number of lines you want to add. The default is 1. 3. Click on Add Note Lines button. 30

Viewing a Patient's Lab Work

1. From a Nurse Unit, Physician or Group census, click on the underlined bed number for a patient.

2. Click on Clinical Data or the drop down arrow. 3. Click on Laboratory. 4. Click on a button under Express Lab Search to obtain lab information for a pre-defined number of days.

5. Click on the Back browser button to return to the main lab screen for additional choices. 6. An advanced search by Date, Department, and order number index is possible. Viewing Pathology Reports (Where Applicable)

1. 2. 3. 4.

From a Nurse Unit, Physician or Group census, click on the underlined bed number for a patient. Click on Clinical Data or the drop down arrow. Click on Pathology. Click on the study you want to review (Use the blue hyperlink).

Viewing Transcribed Reports (Where Applicable) You can view various dictated reports such as: radiology, mammography, H&P, EKGs, consults, and admit notes, etc.

1. 2. 3. 4. 5.

From a Nurse Unit, Physician or Group census, click on the underlined bed number for a patient. Click on Clinical Data or the drop down arrow. Click on Transcription. Click on a button under Transcription Search to obtain reports for a pre-defined number of days. Click on the study you want to review (Use the blue hyperlink).

Viewing Demographic Data This information closely resembles that found on a face sheet.

1. From a Nurse Unit, Physician or Group census, click on the underlined bed number for a patient. 2. Click on Demographics or the drop down arrow. 3. Click on one of the available options. Medical Record Search 1. Click on MedRec Search black navigation button.

2. Click in the Med Rec Number field. 3. Type in the number. (Must be 9 digits.) 4. Click on the Search button.

Patient Name Search 31

1. 2. 3. 4.

Click on Pt Name Search black navigation button. Click in the Text box for Last Name. Type in the Last Name. You may add First Name and Birth date to narrow the search results list. Click on the Search button.

Patient Number Search 1.

Click on Pt # Search black navigation button.

2. 3. 4.

Click in the Patient Number field. Type in the Patient Number. Click on the Search button.

Printing From Common Access

1. Click once in the data section of the screen. (Note: This lets the printer know which information needs to be printed. You will not see any change on the screen.)

2. Click once on the printer icon in the browser toolbar at the top. OR 3. Click on the File, Print from the menu bar at the top of the screen.

Patient Confidentiality is of utmost importance. Always close the window Use the X in the upper right hand corner of the screen.

Always LogOut Call 586-753-0000 or 3-0000 to report any issues or concerns.

32

St. John Health Intranet St. John Health has provided you with Internet access via your network ID. Our intranet is an internal “internet” that provides information such as online phone directory and medical information resources. It is easily accessed via the blue “e” on your task bar, as viewed below.

33

Some Highlights include: a. Online Directories including Associate Phone Directory and Physician Phone Directory

b.eCare-State-of-the-art electronic medical record base on the concept of a “patient-centric”

record, which will provide a single patient electronic record regardless of where patients receive care within St. John Health. Link to eCare web site.

34

c. Common Access-Web-based toll that provides patient information such as lab, pathology, transcribed results and demographic information (to be replaced with eCare). SJHMC and SJMOH

CDRweb-Web-based toll that provides patient information such as lab, pathology, transcribed results and demographic information (to be replaced with eCare). Providence Hospital

35

d. Care Management i.Micromedex provides a wide range of clinical databases with information regarding drugs, toxicology, diseases, acute care, and alternative medicine.

36

37

e. Medical Information Resources i.MD Consult- provide medical texts and articles from clinical journals, practice guidelines, drug information, patient education handouts, and daily medical updates customized to your specialty. This is used at SJHMC.

ii. Up-To-Date (Under System Service-Library)-electronic books and database, used at SJHMC, SJOH & Providence.

38

iii. Medline-medical journals

iv. CME Sponsored Programs-information on symposiums for CME credit.

39

St. John Health Learning Institute How to Access the St. John Learning Institute 1.

2.

From the St. John Intranet: A.

Point to Human Resources

B.

Point to SJH Learning Institute

C.

Click SJH Learning Institute Login

Enter your Login and Password and click Submit.

Login: Your Login is “sj” followed by your employee identification number. (For example, sj12345). You can obtain your employee ID number from your manager, your paystub or Worklife Services.

3.

4.

Password: The password is: welcome

Click in the Search box and type the name or code of the course. NOTE: See the last page of this document for additional information on finding classes. Click GO

5.

Click launch NOTE: See the last page of this document for additional information on finding classes. 40

6.

When finished with the course, click OK

41

SEARCH TIPS FOR FINDING COURSES You can enter words in the Search text box available on any page or select from multiple search criteria using the Advanced button. When you enter search items, these rules apply:



Searches are not case sensitive.



Exact matches for the word or words you enter in the Search box will appear in the search results.



If you use a space between words in the Search box, the results will include all records that contain both search words.



You can use an asterisk (*) as a wildcard character (see below for more information) to substitute for zero or more characters.



Punctuation marks and common short words (or "noise" words) are ignored when used as search criteria. Examples of common short words include "and", "or", "the", "as", "after", and "much".

The following table shows some examples of searches including sample results.

Search using...

Example of

Search results

search text A single word

Register

Returns all records that contain the word register. Does not return records that contain variations of this word, such as registering.

Multiple words

Class List

Returns all records that contain both "class" and "list" in any order or position. Does not return records that contain only one of these words or variations of the words. An example of a search result could be "The resource list for the Finance Fundamentals class".

A phrase in quotes

“Class

Returns all records that contain this exact phrase in the

Registration”

searched content. An example of a search result could be "The Accounting II class registration will be held on January 5".

Single search word

class*

with an asterisk

Returns all records that contain terms that begin with "class" such as classroom or classes.

wildcard character Multiple search

class* acc*

Returns all records that contain both the terms that begin

words with wildcard

with "class" and "acc". Examples of results: "Accident

characters

Reporting Classes" and "The available classrooms for Accounting".

*** NOTE *** If you need assistance, please call the St. John Health Learning Institute at 313-499-4525.

How to Enroll in a Class 42

1.

From the St. John Intranet: A. Point to Human Resources B. Point to SJH Learning Institute C. Click SJH Learning Institute Login

2.

Enter your Associate ID and Password and click Submit.

Associate ID: Your Associate ID is an “sj” followed by your St. John Health employee identification number. (For example, sj12345). Your employee id number is located on your pay stub. You can also obtain this information from your department manager or Human Resources. Password: Unless you have changed your password, the password is: welcome

43

3.

Click in the Search box and type the name or code of the course.

4.

Click GO

5.

NOTE: See the last page of this document for additional information on finding classes. Click launch

6.

When finished with the course, click OK

44

7.

You can enter words in the Search text box available on any page or select from multiple search criteria using the Advanced button. When you enter search items, these rules apply:



Searches are not case sensitive.



Exact matches for the word or words you enter in the Search box will appear in the search results.



If you use a space between words in the Search box, the results will include all records that contain both search words.



You can use an asterisk (*) as a wildcard character to substitute for zero or more characters.



Punctuation marks and common short words (or "noise" words) are ignored when used as search criteria. Examples of common short include "and", "or", "the", "as", "after", and "much".

The following table shows some examples of searches including sample results.

Search using...

Example of

Search results

search text A single word

Register

Returns all records that contain the word register. Does not return records that contain variations of this word, such as registering.

Multiple words

Class List

Returns all records that contain both "class" and "list" in any order or position. Does not return records that contain only one of these words or variations of the words. An example of a search result could be "The resource list for the Finance Fundamentals class".

A phrase in quotes

“Class

Returns all records that contain this exact phrase

Registration”

in the searched content. An example of a search result could be "The Accounting II class registration will be held on January 5".

Single search word

class*

with an asterisk

Returns all records that contain terms that begin with "class" such as classroom or classes.

wildcard character Multiple search

class* acc*

Returns all records that contain both the terms that

words with

begin with "class" and "acc". Examples of results:

wildcard

"Accident Reporting Classes" and "The available

characters

classrooms for Accounting".

*** NOTE *** If you need assistance, please call the St. John Health Learning Institute at 313-499-2525.

45

How to View All Available Classes 1.

2.

From the St. John Intranet: A.

Point to Human Resources

B.

Point to SJH Learning Institute

C.

Click SJH Learning Institute Login

Enter your Login and Password and click Submit.

Login: Your Login is “sj” followed by your employee identification number. (For example, sj12345). You can obtain your employee ID number from your manager, your paystub or Worklife Services. Password: The password is: welcome

46

3.

Click Learn, Catalog

*** NOTE *** If you need assistance, please call the St. John Health Learning Institute at 313-499-4525.

How to View Courses That You Have Signed Up For 1.

2.

From the St. John Intranet: A.

Point to Human Resources

B.

Point to SJH Learning Institute

C.

Click SJH Learning Institute Login

Enter your Login and Password and click Submit.

Login: Your Login is “sj” followed by your employee identification number. (For example, sj12345). You can obtain your employee ID number from your manager, your paystub or Worklife Services. Password: The password is: welcome 47

3.

Click Learn, Training Schedule

4.

Click on the name of a course for more details

*** NOTE *** If you need assistance, please call the St. John Health Learning Institute at 313-499-4525.

How to View Your Transcript 1.

2.

From the St. John Intranet: A.

Point to Human Resources

B.

Point to SJH Learning Institute

C.

Click SJH Learning Institute Login

Enter your Login and Password and click Submit.

Login: Your Login is “sj” followed by your employee identification number. (For example, sj12345). You can obtain your employee ID number from your manager, your paystub or Worklife Services. Password: The password is: 48

3.

4.

welcome

Click View my training transcript

Click the Print button to print your transcript.

*** NOTE *** If you need assistance, please call the St. John Health Learning Institute at 313-499-4525.

Introduction to Outlook 2003

49

V. 2.4 Last updated April 11, 2007

50

Launching Outlook ...................................................................52 Launching OWA .......................................................................52 Deleting Messages...................................................................55 Emptying Deleted Items Folder ................................................55 Recovering Deleted Items ........................................................56 Viewing Attachments................................................................56 Potentially Unsafe Attachments

57

Creating and Sending a New Message ....................................57 Creating and Sending a New Message - Outlook Web Access57 Adding An Attachment to a Message .......................................58 Creating a Signature ................................................................59 Creating a Vacation Message ..................................................60 Managing Your Contacts..........................................................60 Adding Contacts to your Personal Contact List ........................63 Create a contact from e-mail message you received ...............63 Sending Messages to another Ascension Health or Personal Contact

63

Sending Messages to another Ascension Health or Personal Contact - OWA 64 Creating Distribution Lists ........................................................64 Sending Messages to a Distribution List ..................................64 Organizing Your Mail................................................................65 Creating a New Folder .............................................................65 Moving Messages To Folders ..................................................66 Searching for Messages ..........................................................66 Rules ........................................................................................67 Using the Outlook Calendar

67

Exiting Outlook .........................................................................72

51

Introduction to Outlook 2003 Launching Outlook In order to access Outlook, you will need to do one of the following: • •

Double-click the shortcut on your desktop (if applicable), or Navigate to Outlook through the Start button in the Windows taskbar, and click on the application.

After you have launched Outlook, you should see the following in the Outlook 2003 window:

Navigating Through Outlook 2003 If you are viewing Outlook for the first time (default configuration), you will notice there are three columns displayed within the client after you select a mail folder. The column on the left is the Navigation Pane, the middle column is the View Pane and the column to the right is the Reading Pane. These panes are customizable and sizable, so you may remove a pane or resize the pane with ease. Their purposes are as listed below: Navigation Pane – This pane allows you to select which function of Outlook you would like to utilize. You can navigate through your different mail folders and mailboxes in this pane, as well as access your Calendar, Contacts, Tasks and others. By default, your mail folders are displayed in the Navigation Pane when you launch the application. View Pane – This pane will display the contents currently stored in the folders you see in the Navigation Pane. Reading Pane – This pane displays contents of selected messages from the View Pane without the need to open a separate window. Click on the message you wish to view, and it will be displayed in the Read Pane. Launching OWA In order to launch Outlook Web Access, you will need to do the following. Double Click on the Internet Explorer Icon on your Desktop or Navigate to IE through the Start button in the Windows taskbar, and click on the application 52

Enter the OWA website information. HTTPS://EMAIL.ASCENSIONHEALTH.ORG It is suggested that you place this webpage as a bookmark in your favorite for easy access in the future. A logon screen will appear asking for your username and password. Username format is domain\username. Password is your windows login (sjhs\smithd01):

The Premium Client is the default and is what is shown in the documentation below. It provides all Outlook Web Access features. The Basic client provides fewer features than the premium client, but offers faster performance. Use the basic client if you are on a slow connection or have a machine with performance problems. After you have launched OWA, you should see the following window:

53

Navigating Through OWA 2003 If you are viewing OWA for the first time, you will notice there are three columns displayed within the client after you select a mail folder. The column on the left is the Navigation Pane, the middle column is the View Pane and the column to the right is the Reading Pane. These panes are customizable and sizable, so you may remove a pane or resize the pane with ease. Their purposes are as listed below: Navigation Pane – This pane allows you to select which function of Outlook you would like to utilize. You can navigate through your different mail folders in this pane, as well as access your Calendar, Contacts, Tasks and others. By default, your mail folders are displayed in the Navigation Pane when you launch the application. View Pane – This pane will display the contents currently stored in the folders you see in the Navigation Pane. Reading Pane – This pane displays contents of selected messages from the View Pane without the need to open a separate window. Click on the message you wish to view, and it will be displayed in the Read Pane.

Reading New Messages Once you have launched the Outlook client, you can view your new messages by selecting the Inbox from your Navigation Pane.

From here, you can do one of the following: • Select the message in the View Pane to display it in the Reading Pane, or • Double-click the message to display it in a new window. When you are finished viewing the message, you are able to navigate to the next message by selecting it from the View Pane. Additionally, if your message is displayed in a separate window, click the right-hand corner of your message, and you will return to your Inbox. Outlook Web Access (OWA) – Reading Messages In Outlook Web Access, you view messages in the same way as Outlook. 54

in the upper

Deleting Messages If you would like to delete messages from your Inbox, you may do so by choosing one of the following options: • Select the message(s) you wish to delete, and click on the button, or • Select the message(s) you wish to delete, then select Edit | Delete from the Menu Bar, or • Select the message(s) you wish to delete, and press the Delete Key, or • Right-click on the message(s) you wish to delete, and select Delete. Additionally, if you are viewing messages in a separate window, you have the ability to delete the message you are currently viewing by doing the following: • Click the button from the Tool Bar. Please Note: Any items that have been in your Deleted Items folder longer than 7 days will be automatically emptied by the system. Deleting Messages – Outlook Web Access (OWA) If you would like to delete messages from your Inbox, you may do so by choosing one of the following options: • Select the message(s) you wish to delete, and click on the button, or • Select the message(s) you wish to delete, and press the Delete Key, or • Right-click on the message(s) you wish to delete, and select Delete. Additionally, if you are viewing messages in a separate window, you have the ability to delete the message you are currently viewing by doing the following: • Click the button from the Tool Bar. Please Note: Any items that have been in your Deleted Items folder longer than 7 days will be automatically emptied by the system.

Emptying Deleted Items Folder Once you have deleted messages from your Inbox and other folders, they will be stored in your Deleted Items folder. If you would like to empty your Deleted Items folder, choose one of the following options: • Right-click on the Deleted Items folder in the Navigation Pane and select Empty “Deleted Items” Folder, or • Select Tools | Empty “Deleted Items” Folder from the Tool Bar By default, your Deleted Items folder will not be emptied when you exit Outlook. However, any items that have been in your Deleted Items folder longer than 7 days will be automatically emptied by the system. Emptying Deleted Items Folder – Outlook Web Access Once you have deleted messages from your Inbox and other folders, they will be stored in your Deleted Items folder. If you would like to empty your Deleted Items folder, choose one of the following options: • Right-click on the Deleted Items folder in the Navigation Pane and select Empty “Deleted Items” Folder, or •

Select your Deleted Items folder and click

in the Tool Bar

By default, you Deleted Items folder will not be emptied when you exit outlook. However, any items that have been in your Deleted Items folder longer than 7 days will be automatically emptied by the system. 55

Recovering Deleted Items If you have recently emptied items from your Deleted Items folder, you now have the ability to recover data deleted within the past fourteen days. This is a new feature in Outlook, and was not available in Eudora. In order to use this feature, select Tools | Recover Deleted Items from the Menu Bar. Doing so will display the following window:

Select the message(s) you wish to recover, and then click the (Recover Deleted) button in the Tool Bar. Your message(s) will then be moved back to the Deleted Items folder. From there, you have the ability to move the messages back to your Inbox and/or other folders. Outlook Web Access – Deleted Items – As with Outlook you can retrieve deleted and emptied items. Drag and drop deleted items back into your inbox. To recover items deleted from your deleted items folder, go to the Options selection in the bottom right hand corner and click on “View Items”. It may take a minute or two for the recovered items to reappear. Once the items are shown, simply choose those you wish and click on “Recover”.

Please Note: After 7 days in your Deleted Items, a message will be automatically empties, and 14 days from that point it will be permanently removed from the Deleted Items Retention. So after 21 days, the item will be permanently gone from the server.

Viewing Attachments If you receive a message with an attachment you would like to view, you can do so by double-clicking on the attachment name or icon, which is shown circled in red:

Clicking on this attachment will launch a new window (as shown below), which will prompt you to either Open or Save the attachment. Click on the Open button to open the file in a new window. 56

Outlook Web Access – Attachments – Click your right mouse button on an attachment’s name to see a list of options. Note – you may have to do a “save as” and place it on your computer to be able to open it properly. Potentially Unsafe Attachments Ascension Health blocks unsafe attachments for your protection. These include viruses as well as executable (.exe) files. When you are sent an email containing such a file, the file will be removed and a message will be put in it’s place. Potentially Unsafe Attachments – Outlook Web Access - In OWA, the attachment will be inaccessible; instead you will see the following message where the attachment would normally be.

Creating and Sending a New Message There are a number of ways to create new messages in Outlook. From the Mail window, please select one of the following below: • • •

Click the button on the Tool Bar, or Select File | New | Mail Message from the Menu Bar, or Press CTL + N

Doing any of the above listed options will display a new window, as shown here:

From this window, you can compose your message. Enter the recipient’s address in the To: field, the subject of the message in the Subject: field, and any information you wish to include in the body of the message. When you are finished composing your message, click on the will be sent and you will be returned to your Inbox. Creating and Sending a New Message - Outlook Web Access 57

button in the Tool Bar. Your message

To create a new message in OWA, click the as shown here:

button on the Tool Bar and it will display a new window,

From this window, you can compose your message. Enter the recipient’s address in the To: field, the subject of the message in the Subject: field, and any information you wish to include in the body of the message. When you are finished composing your message, click on the will be sent and the window will close.

button in the Tool Bar. Your message

Adding An Attachment to a Message If you have a file that you wish to include with an outgoing message, you can do so by adding an attachment to your message. From your New Message window, click on the button in the Tool Bar. This will display a new window (shown below) where you will be able to navigate to and choose the file you wish to attach. Once you have located and selected the file, click the Insert button at the bottom of the window.

Doing this will add a new field to the top of your message, titled Attachments. You will then see your file listed in this section. If you wish to add more files to the message, repeat the process explained above. Outlook Web Access – Insert File – In OWA, to insert a file you click on the “Attachments:” button. That will bring up another window that allows you to specify the path to the file you wish to add using “Browse”. Once specified you click on the “Attach” to add it to the message. If you wish to remove an attachment, you 58

have to place a check mark next to the attachment in question and select “Remove”. Once you have completed your attachment choices, select “Close” The attachments will now be listed next to the “Attachments:” button.

Creating a Signature To automatically add a signature to your outgoing message, select Tools | Options from the Menu Bar. This will open a new window. From here, you will select the Mail Format tab. Click the Signatures button at the bottom of the window and click the New button in the subsequent window. Choose a name for your signature, and click the Next button. This will display the following window, where you can create your new signature:

Enter the information you wish to be displayed in your signature in the space provided. Once you have created your signature, click the Finish button at the bottom, click OK at the subsequent screen. Finally, click Apply and OK at the original Options window, and you will be returned to your Inbox. Creating a Signature - Outlook Web Access – Click on the Options Menu in the Navigation Pane. Under “Messaging Options” check “Automatically include my signature on outgoing messages” and “Edit Signature” to create it.

59

Creating a Vacation Message The vacation message feature in Outlook is referred to as the Out of Office Assistant. If you will be away from your mail, and would like senders to be notified, you can do so by selecting Tools | Out of Office Assistant. Doing this will open the following window, where you can turn the Out of Office Assistant on or off, as well as compose and modify your auto-response:

NOTE: It is important to understand that this auto-response will only be sent to users with an Ascension Health e-mail address. The reasoning for this is that auto-responses can pose a security issue for a couple of reasons: 1. An auto-response telling anyone who sends you mail that you are away from your office implies that no one will be attending to your office, system, accounts and other services. 2. An auto-response confirms your e-mail address to spam senders as a “valid” e-mail address (potentially generating more spam for you). Outlook Web Access – Out of Office Assistant – Click on the Options Menu in the Navigation Pane. Under “Out of Office Assistant” select “I’m currently out of the office” and enter your autoreply text.

Managing Your Contacts In Outlook, your e-mail addresses are saved as Contacts. By clicking on Contacts in the Navigation pane, any personal contacts you’ve added will be displayed in the View Pane, as shown here:

60

Searching for Contacts If you would like to look up information about a personal Contact or another employee (phone number, e-mail address, department, etc.), click on the button in the Tool Bar. This will launch the following window to be displayed, where you can search both your Personal Contacts and the Global Address List. The Global Address List contains the names and e-mail address of everyone on the Ascension Health system. It can also contain conference rooms and global distribution lists. User names will be displayed in the address book using the following format: Last Name, First Name Middle Initial (Optional) For names that are duplicates, the following format will be used: Last Name, First Name Middle Initial (Health Ministry/City/Optional Field). For example: Smith, John A (St. Vincent/Birmingham) Smith, John B (St. Vincent/Indianapolis) Smith, John E (St. Vincent/Indianapolis/Radiology) Resources will be organized in the Global Address Book by their location code 5 character prefix, the type of resource, and the resource name. The Type of resources are as follows: CAL Calendar CMP Computer CR Conference Room EQP General/Misc Equipment HTL Hoteling Areas LAB Computer or Other Lab Room/Facility PHN Phone PRJ Projector (film or data) TRN Training Room TV Television VCR Virtual Conference Room (Data Conferencing) VPL Video Cassette Recorder/Player For example: FLPEN-CR-Administrative Conference Room TNNAS-CR-Conference Room B 61

All Email distribution lists will have a five character prefix. For example: ALBIR-Everyone NYNIA-Everyone AZTUC-Management MIDET-Management

Enter the name of the person you wish to locate, select which Address Book you wish to search, and hit your Enter key. Your results will then be displayed in the bottom window. Additionally, you can browse through the entire Global Address List, as it is displayed by default when you open the Address Book (as shown in the image). Searching for Contacts – Outlook Web Access While it is possible to search the Global Address List or Contacts in OWA, it is not as easy to do so. Like outlook, you select the button, but instead of bringing up the address book in question, it brings up a search tool.

62

When using the Find Names tool, it is possible to search on any of the fields. But please note that when using the Display Name to do a search on, it is extremely exact. When you enter the search criteria into Display Name and click Find – it will match what you typed to the first part of the display name only. For example, if you type in John and do a search, it will find all the people that have the display name starting with John – those with the last name of John or Johnston, etc. It will not find “Smith, John” – for that you would have to do either a search on the display name of Smith, or use the first and last name fields to do your search. Adding Contacts to your Personal Contact List If you would like to add a new contact to your personal Contacts list, click the button in the Contacts Tool Bar, and enter any contact information you wish to retain in the fields provided, as displayed here:

When you have entered all contact information you wish to save, click the return you to your personal Contacts window.

button, which will

Create a contact from e-mail message you received 1. Open or preview the e-mail message that contains the name you want to add to your contact list. 2. Right-click the name of the sender you want to make into a contact, then click Add to Contacts on the shortcut menu. Outlook Web Access – Address Book & Contacts To add contacts you can: 1. Click on the “Contacts” in the OWA Pane. 2. Click on the button for “New” at the top menu bar or double click a contact name to edit it. 3. Enter Contact Information 4. Save and Close to exit.

Sending Messages to another Ascension Health or Personal Contact If you would like to send a message to a personal Contact or another Ascension Health Contact, you can do so by one of the following ways: • Create a new message, click the To: field to search for and select the contact you wish to send,

or • Select a contact from your Personal Contacts and click the 63

(Send mail to contact) button, or



In the Address Book search window, search for and select recipient, click the

button

Sending Messages to another Ascension Health or Personal Contact - OWA In OWA you cannot open the Global Address Book. Instead when you click on the To: CC: or BCC: button a “Find Names” window will appear. Please see the section Searching for Contacts – Outlook Web Access on page 16 for further instructions.

Creating Distribution Lists If you often send messages to the same group of people, it may be beneficial to create a Personal Distribution List. This is a collection of email addresses that you send to all at once; since it is personal it will be stored in your Contacts folder and only be accessible to yourself and any delegates. In order to do this, you must first be in the Contacts screen. From there, click on the New drop-down menu and choose Distribution List (the default in the drop-down box will be Contact). Doing so will display the following window:

In this window, you will create the name of your Distribution List in the field provided for Name. From there, you will need to add the names of contacts you would like added to this list. You can do this by either of the following methods: • Click Add New, manually type the Display Name and E-mail Address in the fields provided, or • Click the Select Members button to search for and select members from your Address Book. When you are finished adding names, click the window.

button, and you will be returned to your Contacts

Outlook Web Access – Distribution Lists – You can create a Distribution List in OWA by: 1. Click on the down arrow next to New and select “Distribution List” 2. Enter the “List Name:” 3. Enter the names of the people you which to be in the Distribution through either the “Find Names” button, or typing in a portion of the person’s name and selecting Add and selecting from the list that is displayed (if selection is found). 4. “Save and Close” to exit.

Sending Messages to a Distribution List Once you have distribution lists created, you can send a message to a select group of people, without adding each contact individually. As with sending a message to a Contact, there are a couple of options for doing this: • Select a Distribution List from your Contacts and click the (New message to contact) button, or 64

• Create a new message, click the To: field and select the Distribution List you wish to send your message to, or • Select a Distribution List from your Contacts, right-click and select New Message To Contact Sending Messages to a Distribution List – Outlook Web Access To send a message to a Distribution List via OWA, you find the list name the same way you find a contact or Global Address List entry.

Organizing Your Mail As messages begin to pile up in your Inbox, it gets difficult to locate particular items. For this reason, it is helpful to organize your mail. In order to create new folders to organize your mail, or view the current folders you have, make sure you are in the Folders view. Clicking on the Inbox button in the Navigation Pane should display any folders you currently have created, as shown here:

Outlook Web Access – OWA only allows the default views. You can see any folders that have been created under your mailbox, but it does not allow you to add any personal/archive folders (those stored locally or on a network drive) or customized views.

Creating a New Folder If you would like to create a new folder from this view, click the drop-down menu on the New button, and select Folder.

This will open a new window, shown here:

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Type the name you would like to give the new folder in the Name: field, and select where you would like to put the folder by highlighting the folder. Click OK to create the folder. This will add your new folder, and return you to your previous window. Outlook Web Access – Click your right mouse button on a Folder to see a list of options. Choose “New Folder” to create new ones, “Move Folder” to reorganize your folders. Note that you cannot change the order of the standard Outlook Folders. You can also drag and drop your folders to move them. Unlike Outlook, there is no “Favorites Folder”

Moving Messages To Folders Once you have folders created, you can start moving messages from one folder to another. There are a number of ways to do this in Outlook 2003: • Highlight and drag the message(s) to the appropriate folder, or • Right-click on the message(s) and select Move to Folder, then select the appropriate folder from the window, or • Select the message(s) and click on the (Move to folder) button from the Tool Bar, then select the appropriate folder from the window. Moving Messages To Folders – Outlook Web Access To move messages in OWA is the same as in regular Outlook.

Searching for Messages To search for particular messages in Outlook, do one of the following: button, or • Click the • Select Tools | Find | Find from the Menu Bar Doing so will display the following bar to be displayed under the Tool Bar:

Enter your search criteria (“Look for:” and “Search In”) and click the Find Now button to search for items. Outlook Web Access – Find – To activate the Find Feature: 66

1. 2. 3. 4.

Click on the Magnifying Glass Icon on the Tool Bar. The Find Tool Screen window will open. Enter the search criteria and select “Find Now”. There are no choices for Advanced Find. To turn Find off, close the Find window.

Rules You have the ability to manage your mail by using Rules to automatically filter your incoming messages. After you create the Rules, they will be effective in both Outlook Web Access and Outlook 2003 client. To display Rules in Outlook, select Tools | Rules and Alerts from the Menu Bar. This will open a window, which displays any rules or alerts you currently have created. To create a new Rule, click the New Rule button, which will launch the window below. In this example, we will create a Rule to send SPAM mail to the Junk EMail folder, by filtering messages with particular information in the Subject: line.

Select the method by which you plan to filter (in this case, by Subject) under Step 1, and specify the words and folder information in Step 2 (in this case, “spam?” and “Junk E-mail”) by clicking on the blue links. Clicking Next will prompt a series of windows in which you can further specify the conditions, actions and add any exceptions you would like to add. After doing so, you will be prompted to name the rule, and click the Finish button. Your new Rule will then be displayed in the original Rules and Alerts window. Click Apply to save these settings, and click OK to return to Outlook. Outlook Web Access – Rules are not available in OWA.

Using the Outlook Calendar Calendar Views There are 4 different views in which to view the calendar. These views are as follows: 1 Day 5 Day 7 Day 31 Day From any view in the calendar, double-click on a date or an open time period to add new appointments/events. 67

1 Day – enables the user to view the schedule for a specific day. This view displays all appointments, meetings and events, by time, in the Notepad type window 5 Day – enables the user to view a normal 5-day work week. This view displays all appointments, meetings and events, by time and date, in the Notepad type window. 7 Day – enables the user to view a normal 7 day calendar week. This view displays all appointments, meetings and events, date only, in the Notepad type window. • Appointments/events will be displayed on the date on which they occur. 31 Day – enables the user to view an entire month. Similar to the 7 Day View, this view displays all appointments, meetings and events, by date only, in the Notepad type window.

Scheduling an Appointment The appointment selection would be used for your own personal schedule. You would not invite other people or use any resource, such as a conference room. • From within the Calendar option, click on the ‘New’Button.



An Untitled Appointment window will be displayed. The default tab displayed will read Appointment’.



Enter the desired information.

Appointment Tab • Subject: Enter the subject of the appointment. • Location: Specify the location of the appointment. • Start and End Time: To specify the appointment duration, select the desired start and end dates for the appointment, then enter the start and end time. This can be done using one of two methods. Either enter the information manually or use the provided drop-down boxes. • Label: Use this drop-down box as an identifier to describe the appointment (i.e. doctor appt., important, business, phone call and etcetera.). • Reminder: Use this check box to set a reminder for the appointment. • Body: The blank white space will be used to briefly describe the purpose of the appointment. • Show Time as: There are four different options available to set this option when scheduling the appointment. The option selected, will be shown to others attempting to schedule appointments when you are unavailable. • Private: This check box, found in the lower right corner, is used to make an appointment private. 68

Scheduling a Meeting The meeting selection would be used when inviting other attendees and/or scheduling a resource, such as a conference room. To create a meeting request, click the ‘

button located on the ‘Appointment’ window.

• An Untitled Meeting window will be displayed.

Click the

button to select the other attendees and/or resources to be invited to the meeting.

The ‘Select Attendees and Resources’ window will be displayed.

In this window there are three options: Required, Optional and Resources. The ‘Required’ field is for attendees that are required to attend this meeting. The ‘Optional’ field is to invite attendees who have a choice of whether 69

or not they will attend. The ‘Resources’ field is used to invite any resources that you made need. Resources would include, meeting/conference rooms, projectors, computers and etcetera. Enter the desired information and click OK After the names and resources have been added, check to insure that the attendees and resources are available for the proposed date and time. Let’s check scheduling. • Select the

tab, to check the free/busy time for all attendees and resources.

Scheduling Tab • Zoom: Select the desired layout of the schedule view displayed in the Window. • All Attendees: Lists all attendees and resources that are invited to the meeting. • Window: This is the schedule viewing area. • Add Others: Allows the ability to add other attendees and resources to be invited to the proposed meeting. • Options: Select the level of detail to display in the viewing Window. • AutoPick Next: Click this button to automatically display the next available date and time for the proposed meeting. • Start and End Time: To specify the meeting duration, select the desired start and end date for the meeting, then enter the start and end time. This can be done using one of two methods. Either enter the information manually or use the provided drop-down boxes.

Scheduling an Event An event is an activity that lasts all day. In order to schedule an Event, from the ‘Appointment’ window, on the appointment tab, check the ‘All day event’ box. ** NOTE: Remember, from any view in your calendar, you can double-click on a date or an open time period to add new appointments/events. 70

An Untitled Event window will be displayed.

Enter desired information. Appointment Tab • Subject: Enter the subject of the appointment. • Location: Specify the location of the appointment. • Start and End Time: To specify the appointment duration, select the desired start and end dates • for the appointment, then enter the start and end time. This can be done using one of two methods. Either enter the information manually or use the provided drop-down boxes. • Label: Use this drop-down box as an identifier to describe the appointment (i.e. doctor appt., important, business, phone call and etcetera.). • Reminder: Use this check box to set a reminder for the event. • Body: The blank white space will be used to briefly describe the purpose of the event. • Show Time as: There are four different options available to set this option when scheduling the event. The option selected, will be shown to others attempting to schedule events when you are unavailable. • Private: This check box, found in the lower right corner, is used to make an event private. • After the names and resources have been added, check to insure that the attendees and resources are available for the proposed date and time. Let’s check scheduling. • Select the tab, to check the free/busy time for all attendees and resources. Scheduling Tab • Zoom: Select the desired layout of the schedule view displayed in the Window. • All Attendees: Lists all attendees and resources that are invited to the event. • Window: This is the schedule viewing area. • Add Others: Allows the ability to add other attendees and resources to be invited to the proposed event. • Options: Select the level of detail to display in the viewing Window. • AutoPick Next: Click this button to automatically display the next available date and time for the proposed event. • Start and End Time: To specify the event duration, select the desired start and end date for the event, then enter the start and end time. This can be done using one of two methods. Either enter the information manually or use the provided drop-down boxes.

Appointment Recurrence The Recurrence option would be used when an appointment, meeting or event will take place at the same time and place on a regular or repetitive basis. The ‘Appointment Recurrence’ window is displayed whether the ‘Recurrence’ button is selected from the ‘Appointment’ window, the ‘Meeting’ window or the ‘Event’ window. 71

From this window you can designate the recurrence of the appointment, meeting or event and how long the recurrence should last.

Using the Outlook Calendar in OWA In order to use the Outlook Calendar in OWA you must first launch Outlook Web Access by doing the following. Enter the OWA website information. HTTPS://EMAIL.ASCENSIONHEALTH.ORG in the Internet Explorer Address bar. Note: It is suggested that you place this webpage as a bookmark in your favorite for easy access in the future. A logon screen will appear asking for your username and password. Username format is domain\username. Password is your windows login (sjhs\smithd01):

The Premium Client is the default and is what is shown in the documentation below. It provides all Outlook Web Access features. The Basic client provides fewer features than the premium client, but offers faster 72

performance. Use the basic client if you are on a slow connection or have a machine with performance problems.

Funtionality in OWA for the calendar is the same as in Outlook 2003 with the exception of managaging other calendars. Managing other calendars will not be available.

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Exiting Outlook When you are finished using Outlook, close the program by doing one of the following: • Select File | Exit, or • Click the button in the upper right-hand corner Getting Help Should you experience any problems while working in Outlook, and it is not covered in this guide, call your normal Help Desk number and press option #8 and the Help Desk Analyst will be able to assist you.

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HealthWeb Remote Access http://healthweb.stjohn.org Do you want access to St. John Health clinical information, resources, e-mail and files in your home and shared network drives from your private office or home? A way that is simple, time-saving and user-friendly? HealthWeb remote access is available featuring reduced system sign-ons, easier connectivity, increased access to files, automatic patient information protection, and self-service network password resets. What are the basic components of HealthWeb? •

The Clinical Login System – The internal network that manages your network and application IDs, passwords and reduced sign-on functionality.



HealthWeb remote access solution – The remote solution that will provide the ability to access SJH applications – both clinical and non-clinical - (i.e. Common Access, CDR-Web, SJH email, SJH intranet).

What are the minimum system requirements? • •

• • • • • • • •

Connection to the Internet (i.e. dial-up, cable or DSL) Note: It is recommended to utilize a high speed service such as cable or DSL to utilize this remote solution. Due to slower connection rates with dial-up, a connection may not be available through this remote solution. Windows 2000, XP, and Vista operating systems with current updates Note: Microsoft Windows 98SE operating system does not meet the vendors minimum system requirements for HealthWeb. However, the use of HealthWeb may be available in a Windows 98SE environment. No support is offered for any connectivity challenges related to the Windows 98SE operating System. Also, Apple is currently not supported. Internet Explorer 6.0 or greater browser (Netscape and other browsers not supported) Sun Java installed and enabled (required for accessing the eCare system or training related to eCare - May be downloaded at: www.java.com/getjava). Screen resolution of 1024 x 768 (refer to Troubleshooting section of this guide for additional information) POP-UP BLOCKER SOFTWARE may need to be configured to allow for use of remote solution (refer to installed pop-up blocker documentation or Troubleshooting section of this guide for additional information.) FIREWALL SOFTWARE may need to be configured to allow for use of remote solution (refer to installed firewall software documentation for additional information) COMPLETE THE ATTACHED TROUBLESHOOTING GUIDELINES PRIOR TO CONNECTING (SEE PAGE 4) CDR-WEB USERS (Providence): Need to have XML Version 4.0 Service Pack 2 (See Troubleshooting section of this guide for additional information)

Will I be provided an ID and password to access HealthWeb? If you currently login to a SJH computer at one of our hospitals or owned practices, you would use the same Network Login ID and password to access HealthWeb. If you require a Network Login ID and password, our IT Security department will create a unique Network Login ID and a default password. The default password is valid for logging into the Clinical Login System one time. Upon logging in for the first time, you will be required to change the password (Refer to the attached instructions for Remote Password Reset). How long is this Network Login password valid for? Your Network Login password will be valid for 90 days. At that time, you will be prompt to change your password and directed to the Password Management tool. In addition to a Network ID, are there any additional components required before I can begin utilizing HealthWeb? You will need to enroll in the Clinical Login System by completing a brief enrollment wizard. If you have not gone through enrollment, please refer to the attached instructions for Clinical Login Remote Enrollment. Otherwise, you can immediately begin utilizing the benefits of HealthWeb. Also, if you will be accessing the eCare system or training related to eCare, Sun Java will need to be installed and enabled. 77

Do I require a separate ID and password to access applications once I am logged into and enrolled in HealthWeb? The reduced system sign-on feature, called Single Sign-on, will automatically provide you access to specific clinical applications that have been established for you without requiring a separate login. However, if you have a new application account (i.e. Common Access or CDR-Web), you will be required to login with the application ID and password provided by IT Security once before the single sign-on feature is available. Who do I contact for further assistance? Please contact the IT Solution Center at 586-753-0000. The following information will need to be provided to the IT Solution Center representative at the time of the call: • • • •

Version of Windows Operating System installed (i.e. Windows 2000, Windows XP) Version of Microsoft Internet Explorer installed (i.e. IE 5.5 , IE 6.0) What Internet Service Provider is established (i.e. Comcast, SBC) Complete description of what is occurring including any error messages being received

Logging In 1.

Make sure that you have an active connection to an Internet provider (i.e. dial-up, cable, or DSL). Then launch Microsoft Internet Explorer browser (blue “e” in the lower left corner of your desktop or through Start – Programs). 2. Enter http://healthweb.stjohn.org in the address bar of the browser. 3.

You may be prompted with a Security Warning. Select “Yes”.

4.

Enter Novell Network ID and password at Username/Password prompt. If you are unsure of your Novell Network ID and password, please contact the IT Solution Center at 586-753-0000. Select either “Public PC” or “Private PC” based on the following: Public PC - A computer that is located in an area that can be accessed by individuals that should not have access to data that is viewed from Healthweb. Private PC - A computer that is located in an area that is secured from anyone who should not have access to data that is viewed from 78

Healthweb. 5.

Select link for “SJH Remote Users”.

6.

If “Public PC” was selected, you will be prompted to load components for a cache cleaner. This is a component that will remove any temporary files created while utilizing HealthWeb. This will ensure patient confidentiality and adheres to HIPAA regulations. 7. You may be prompted by Windows to remember your Novell Network password. Always select “No”. Your network password will change every 90 days. Therefore, in order to reduce connection issues in the future, you do not want Windows to remember your network password. 8. You may be prompted with Security Warnings to install and run specified browser plug-ins (no software required). Always select “Yes”.

First Time Logging In with New ID 1.

You will be prompted with a PASSWORD EXPIRATION message. Select the “Click here to continue” link. You will be prompted every 90 days to change your Novell Network password.

2.

You will be directed to the Enrollment Wizard prior to changing your password. Select the “Begin Enrollment Wizard Now” button.

3.

Select the “Network Challenge Question” button.

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4.

Click the drop down arrow to display a list of questions. Select one of the pre-defined questions.

5.

Type the answer to the selected question in both of the green answer boxes. The answer can be any length, but must be something that you will remember for future reference. Then select the “Submit” button.

6.

You should receive a prompt that the profile was successfully established. Select the “Close this Window” button.

7.

Select the “Next” button.

8.

Select the “Finish” button.

9.

You will be directed to the Clinical Login HealthWeb home page.

10.

Before you go further, you must select the “New User Password Reset” link from the Clinical Login HealthWeb home page. NOTE: This link is only if using your login ID for the first time. Users that already have an existing login ID will be prompted at the 90 day mark to change their password and automatically directed to the Change Password Management tool.

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11.

The Password Management page will display. a. Enter in the password that you are currently using in the “Current Password” box. b. Enter in a new password in the “New Password” box. Note: The new password cannot be a password used within the past 2 years and must be at least 7 characters or longer. c. You must re-enter the new password in the “Re-type New Password” box. d. Click the “OK” button.

12.

Password has been successfully changed. Click the “OK” button to close the window.

13.

You will automatically be logged out.

14.

Login using the new password that was established. You will be prompt with a message to select a secure gateway. Select “CLP Users”.

Logging Out 1.

Select the “Logout” link in the upper-right corner of the HealthWeb page.

2.

Confirmation message of a successful logout will display. You must select “Click Here to Close Your Browser” to finalize the logout process.

3.

You will then be prompted to confirm closing of the browser. Select “Yes”.

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Clinical Login HealthWeb Troubleshooting Regular maintenance is required to ensure the health of your computer. It is recommended to reboot your computer at least once a week and to eliminate any viruses or spyware. Changing Screen Resolution 1. 2. 3. 4. 5. 6. 7. 8.

Navigate to “Control Panel” from “Start” menu (usually within “Settings”). Double click on “Display”. Select “Settings” tab. Drag slide bar in “Screen Area” to “1024 x 768. Click “OK” button. Click “OK” button to accept changes. Note: Screen will go black for a few seconds and then return. Click “Yes” button to accept that desktop has been reconfigured. Close “Control Panel”.

Removing Temporary Internet Files - Follow these steps prior to contacting the IT Solution Center: 1. 2. 3. 4. 5. 6. 7. 8.

9. 10.

Close all browser windows. Navigate to your Windows Control Panel located in the Start menu. From Control Panel, navigate to Internet Options. From the General Tab of Internet Properties (Options), select “Delete Files” buttons. Select the “Settings” button from Internet Properties (Options). Select “View Objects” button from Settings. If there is a listing for a “Web Class” file, select the “Web Class” file by left clicking on the file name. Right click on file and select “Delete” or “Remove”. If there are listings for “myExtra files, select all “myEXTRA” files by left clicking on the file names. Right click on files and select “Delete” or “Remove”.

Close out of all open windows for Control Panel. The PC will need to be rebooted in order for these changes to take affect.

Unauthorized User Message / Page can’t be displayed: There are two scenarios where a user might come across an “Unauthorized User” message: 1. Users able to successfully log in to Healthweb prior to 6/14/06 may experience an “Unauthorized User” message. If this occurs, follow the below steps: • Navigate to your “Start” menu in the lower left corner of your PC’s desktop • Choose “Settings” • Choose “Control Panel” • Launch “Add/Remove Programs”

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In the list of “Currently Installed Programs”, locate all instances of the application, “Cache Cleaner” and choose to remove them. There may be more than one “Cache Cleaner”, so make sure to check the entire list.



Once all the instances of “Cache Cleaner” have been removed from your PC, close down “Add/Remove Programs”. If your Internet Explorer browser window is still open, close it. Open Internet Explorer and sign back in to http://healthweb.stjohn.org

• •

2. If you were not a user prior to 6/14/06 and receive the “Unauthorized User” message, you might have pop-up blocker software installed on your PC. If this is the case, you will need to allow pop-ups for the Healthweb site. Please consult your pop-up blocker’s documentation on how to allow pop-ups. Windows XP Service Pack 2 Pop-up Blocker: To change the pop-up blocker settings within Windows XP: 1. 2. 3. 4. 5. 6.

Launch “Internet Explorer”. Select “Tools – Internet Option” from menu bar. Select the “Privacy” tab. Under “Pop-up Blocker” section, check “Block pop-ups”. Click the “Settings” button. Add the following sites in the “Allowed Sites” section: *.sjhs.com then click Add *.stjohn.org then click Add 7. Click “Close” button when complete. Note: There may be other entries in the Allowed Sites.

Common Pop-up Blockers These are either on/off.

Google

Yahoo

MSN

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AOL

IE Setting changes for Active X issues: These changes will only affect the way that the Internet and the SJH network interact. No other Internet sites will be affected. Within Internet Explorer, go to Tools – Internet Options

Click on the Security tab and click on “Trusted Sites”. Click on “Sites” button.

Remove the Check from the checkbox.

“Add” the following sites *.sjhs.com *.stjohn.org Click the “OK” button.

This will bring you back to the Options dialog box. Click on the “Custom Level” button.

Under the ActiveX controls and plug-ins heading locate the: - Download “signed” - Download “unsigned” ActiveX controls - “Initialize and script Active X controls not marked as safe” options and verify or change them to “Enable”. Click “OK”. You will be prompted to confirm changing security settings. Click “Yes” and it will return you to the Internet Options dialog box. Click “OK” to exit Internet Options. Retry connecting. (Note: You may need to follow steps for deleting Temporary Internet Files.)

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Switching between Microsoft Java Virtual Machine and Sun Java: Within Internet Explorer, go to Tools – Internet Options

Click on the “Advanced” tab.

Scroll down the setting view until you find: Java (Sun) and Microsoft VM (Microsoft VM may not exist)

Please Read Two options are available to correct issues between applications that are available to you. Depending on your settings, you will need to select “Option: 1” or “Option: 2”

Option: 1 Under Java (Sun) • If “Use JRE1.5.x” is Unchecked then Check “Use JRE1.5.x” the box Under Microsoft VM • If “JIT compiler for virtual machine” is checked then uncheck it.

Option: 2 Under Java (Sun) • If “Use JRE1.5.x” is checked then Uncheck “Use JRE1.5.x” the box

Under Microsoft VM •

If “JIT compiler for virtual machine” is Unchecked then check it.

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Click the “OK” button

CDR-Web Users:

Those accessing CDR-Web remotely must ensure that XML Version 4.0 Service Pack 2 is installed on the remote computer prior to accessing CDR-Web. XML Version 4.0 Service Pack 2 can be found at: http://msdn.microsoft.com/XML/XMLDownloads/default. aspx. Select the file msxml.msi to download. Clinical Login HealthWeb Terms of Use This site is maintained and monitored by St. John Health. By clicking or obtaining a link from this website it is assumed you are a privileged SJH associate, affiliate, or business partner. Unauthorized users will be prosecuted to the fullest extent of the law. 1. Authorized Users o Only privileged St. John Health associates, affiliates, business partners. 2. Our Security Measures The links provided on this website operate in a Secure Socket Layer environment. It is our goal to encrypt your personal and professional information and patient health information before it is transmitted. Encryption is a form of scrambling and de-scrambling, an added security feature designed to help prevent unauthorized persons from seeing your information. Although we make every reasonable effort to protect personal information and personal health information from loss, misuse, or alteration by third parties, you should be aware that there is always some risk involved in transmitting information via the Internet and that hackers or thieves do find ways to thwart security systems. We use 128-bit secured socket layer encryption techniques for sending and receiving data. 3. Obtaining Support The St. John Health Remote Access service offerings are designed to work with your Internet provider, their associated network/dial-up adapter software and the browser you have installed on your PC. A successful connection is dependent on the health of your PC, its operating system/configuration plus the compatibility of your network/dial-up adapter to the remote solution and the proper browser installation. Not all combinations of operating systems, browsers and Internet provider software are guaranteed to work with the St. John Health Remote Access service offerings. St. John Health I.T. associates have made their best effort to test and identify common Dial Up, DSL and Cable Modem software, NAT/Firewall software/hardware, operating system and browser configurations that would be used for this remote service. Because of the infinite number of configurations that may be possible, not all combinations have been tested or may be supported. In the event your browser, operating system or Internet provider is not excluded from support and you are still having problems with your installation, contact the St. John Health IT Solution Center at (586) 753-0000. SJH 86

cannot provide support for equipment or software not owned by SJH. The I.T. Solution Center and the remote access specialists will make every attempt to provide a resolution. Any support provided by SJH is under the consent of the client.

St John Health © 2004, All rights reserved.

Confidentiality Statement By requesting access to the SJH information network and approved systems, you agree that you: a) Accept your request as a contract and accept responsibility for appropriate use, dissemination, and confidentiality of all information made available to you. This includes oral, paper-based, electronic communication and transfers of data to any electronic form, storage or database; b) Understand that your logon id and password constitute your electronic signature. Use of your logon id to access patient information is equivalent to using your signature. You are accountable for all access using your logon id; c) Will not allow any unauthorized access using your logon id. This is regarded as a breach of confidentiality and medical ethics; d) Acknowledge that the system records all activities performed using your unique logon id, and that access attributed to your logon id will be presumed to have been performed by you; e) Understand that this access and all information provided is subject to professional confidentiality obligations and state and federal laws, including but not limited to federal HIPAA regulations regarding the use and confidentiality of patient records. You accept responsibility for compliance with HIPAA regulations, state laws and professional obligations, and understand that non-compliance may result in civil and/or criminal legal actions, state and/or federal penalties and fines; f)

Acknowledge that a unique logon id and password is assigned to you and must be kept confidential;

Agree that any indication of misuse will suspend or terminate access and could result in civil and/or criminal legal actions, state and/or federal penalties and fines. Clinical Login Single Sign-on Applications The matrix below reflects those applications which will have the single sign-on feature incorporated as part of Clinical Login. App Electronic Signature

SJHMC SoftMed – Web ESA

SJNS SoftMed – Web ESA

PHMC

SJOH SoftMed – Web ESA

Email

Outlook Web Access

Outlook Web Access

Outlook Web Access

Internet

Internet Explorer Perinatology

Internet Explorer

Outlook Web Access for Wireless tablets Internet Explorer

OB/GYN Order Entry Patient

HBO ADS+

HBO

HBO ADS+ Invision – TPX Mainframe HBO

Invision – TPX 87

SJMH

SJRV

Outlook Outlook Web Access Web Access

SJRD

Outlook Web Access

Internet Explorer

Internet Explorer

Internet Explorer

Internet Explorer

Med Series 4

Sunquest CernerADAC MARS HBO

Sunquest CernerADAC MARS HBO

A4

Med Series 4

Mainframe

Mgmt Results Reporting Practice Mgmt

Common Access

Common Access

CDR-Web

Common Access

Signature

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Common Access

Common Access

Common Access

PACS Ten Minute Advanced Visualization Training Guide Launching Advanced Visualization (AV) 1. Click the Advanced Visualization Icon on your desktop. 2. Enter your User ID and Password. (Your first signon password is "password")

The Worklist 1. An exam list will automatically launch when you first log into AV. 2. Default exam list will be listed under the Public Folders on the left side of the screen. (if the folders are not visible go to the Window Menu on the top of the screen and select "Show Folders") 3. Sort exam list by clicking on column headers.

Patient History Window/Structured Reports *The patient history contains all the studies save on the archive for a patient. 1. Select a study in the exam list. 2. Left-click the Patient History icon from the Worklist Navigator (located at the top of screen).

a.

A dialog box will open and all of the patient's studies are listed and available for selection.

b.

On the right side of the screen are any reports that are associated with the patient's studies.

c.

You can also open the selected study (or studies) from the Patient History by clicking Launch Viewer (located at the bottom of the dialog box).

*The patient history may also be viewed from the Viewer. Select the display icon located in the thumbnail panel at the top of the screen.

Opening Studies 1. Select a patient or study to view from the Worklist. 2. To view Images: Double Click on the patient or study in the exam list.

Viewing Images 1.

AV will automatically display series in a layout.

2. Series that are not displayed can be viewed by dragging and dropping the thumbnail into the display area. 3. You can view series with multiple images by using your mouse wheel. This is mainly for CT, MR or US studies. 4. Series can be manually Window/Leveled by holding the Right-Click button on the mouse down and dragging left/right or up/down.

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